देशभर में कोविड-19 के मामलों में हालिया वृद्धि को देखते हुए उत्तराखंड सरकार सतर्क हो गई है। राज्य के सचिव चिकित्सा स्वास्थ्य एवं चिकित्सा शिक्षा, डॉ. आर. राजेश कुमार ने विभागीय उच्च अधिकारियों के साथ कोविड-19 प्रबंधन को लेकर एक महत्वपूर्ण समीक्षा बैठक की। बैठक में उन्होंने अधिकारियों को किसी भी संभावित आपात स्थिति से निपटने के लिए पूरी तैयारी रखने और किसी भी स्तर पर कोताही न बरतने के निर्देश दिए। डॉ. कुमार ने कहा कि कोविड-19 प्रबंधन की सभी व्यवस्थाएं पूरी तरह से सक्रिय और दुरुस्त रहनी चाहिए। बैठक में महानिदेशक चिकित्सा डॉ सुनीता टम्टा, निदेशक चिकित्सा शिक्षा डॉ आशुतोष सयाना, असिस्टेंट डारेक्टर डॉ पंकज सिंह, सीएमओ देहरादून डॉ मनोज शर्मा, सीएमएस दून मेडिकल कॉलेज डॉ आरएस बिष्ट, सहित अन्य अधिकारी मौजूद रहे।
*स्वास्थ्य सचिव बोले: हर संभावित चुनौती के लिए हम तैयार*
“कोविड-19 के मामलों में देशभर में आई हालिया वृद्धि को देखते हुए उत्तराखंड राज्य सरकार पूरी तरह सतर्क है। राज्य में अभी स्थिति नियंत्रण में है, लेकिन हमें किसी भी संभावित चुनौती के लिए तैयार रहना चाहिए। इस समय घबराने की नहीं, बल्कि सतर्कता बरतने और सजग रहने की आवश्यकता है। हमारा प्रयास है कि राज्य के हर अस्पताल, स्वास्थ्य केंद्र और मेडिकल कॉलेज में कोविड-19 से संबंधित सभी आवश्यक संसाधनों की उपलब्धता सुनिश्चित रहे — चाहे वह आइसोलेशन बेड हों, ऑक्सीजन सप्लाई की व्यवस्था हो या प्रशिक्षित स्वास्थ्यकर्मियों की उपलब्धता। इसके अलावा हम यह भी सुनिश्चित कर रहे हैं कि सर्विलांस सिस्टम मजबूत हो, जांच व्यवस्था में कोई कमी न हो और जरूरत पड़ने पर तेजी से कार्रवाई की जा सके। हमारी रैपिड रिस्पांस टीमें प्रशिक्षित और तैयार हैं। मैं राज्य के नागरिकों से अपील करता हूं कि वे किसी भी प्रकार की अफवाहों से दूर रहें और स्वास्थ्य विभाग द्वारा जारी दिशा-निर्देशों का पालन करें। कोविड-19 से बचाव के लिए मास्क पहनना, हाथों की स्वच्छता बनाए रखना, भीड़भाड़ से बचना और लक्षण होने पर समय पर डॉक्टर से परामर्श लेना बेहद जरूरी है।
हम सभी को एकजुट होकर जिम्मेदार नागरिक की भूमिका निभानी है ताकि हम न केवल खुद को, बल्कि अपने परिवार और समाज को भी सुरक्षित रख सकें। यह समय अनुशासन और सहयोग का है, न कि लापरवाही का। राज्य सरकार हर स्तर पर आपके स्वास्थ्य और सुरक्षा के लिए पूरी तरह प्रतिबद्ध है।”
चिकित्सालयों और मेडिकल कॉलेजों में पूर्ण व्यवस्थाओं के निर्देश
राज्य के सभी सरकारी और निजी चिकित्सालयों व मेडिकल कॉलेजों को निर्देशित किया गया है कि वे कोविड मरीजों के उपचार के लिए आइसोलेशन बेड, ऑक्सीजन सिलेंडर, ऑक्सीजन कंसंट्रेटर, बाइपैप मशीन, वेंटिलेटर, ICU बेड, ऑक्सीजन जनरेशन प्लांट और आवश्यक दवाइयों की पर्याप्त उपलब्धता सुनिश्चित करें।
सर्विलांस और जांच व्यवस्था सुदृढ़ करने के निर्देश
सभी जिलों को कोविड-19 के संभावित मामलों की निगरानी को और अधिक सुदृढ़ करने के निर्देश दिए गए हैं। साथ ही सभी जांच केंद्रों में रैपिड टेस्ट किट और आरटी-पीसीआर किट की उपलब्धता सुनिश्चित करने के लिए कहा गया है।
ILI (इन्फ्लुएंजा जैसे लक्षण), SARI (गंभीर तीव्र श्वसन संक्रमण) और कोविड मामलों की अनिवार्य रिपोर्टिंग की जाएगी और इस पर निरंतर निगरानी रखी जाएगी। सभी सरकारी और निजी अस्पतालों एवं लैब को यह सुनिश्चित करने को कहा गया है कि वे प्रतिदिन इन मामलों की रिपोर्ट इंटीग्रेटेड हेल्थ इन्फॉर्मेशन पोर्टल (IHIP) पर साझा करें।
रैपिड रिस्पांस टीम पूरी तरह तैयार रहे
IDSP कार्यक्रम के अंतर्गत गठित रैपिड रिस्पांस टीमों को किसी भी असामान्य परिस्थिति के लिए प्रशिक्षित और तैयार रहने के निर्देश दिए गए हैं। कोविड लक्षणों वाले सभी रोगियों की जांच अनिवार्य रूप से की जाएगी और कोविड पॉजिटिव नमूनों को Whole Genome Sequencing (WGS) के लिए संबंधित प्रयोगशालाओं में भेजा जाएगा।
जनजागरूकता और प्रशिक्षित स्वास्थ्यकर्मी
सभी स्वास्थ्य कर्मियों को कोविड-19 प्रबंधन और प्रतिक्रिया के लिए पुनः प्रशिक्षित किया जाएगा। साथ ही, जनता को सतर्क करने के लिए व्यापक जनजागरूकता अभियान चलाया जाएगा, जिसमें कोविड-19 से बचाव के लिए अपनाए जाने वाले व्यवहार (Do’s & Don’ts) के बारे में जानकारी दी जाएगी। राज्य सरकार कोविड-19 से बचाव के लिए पूरी तरह सतर्क और तैयार है, और जनता से अपील करती है कि वह जिम्मेदारी से उचित व्यवहार अपनाएं तथा अफवाहों से बचें।
कोविड-19 से बचाव हेतु क्या करें और क्या न करें :-
क्या करें:
1. छींकते/खांसते समय नाक और मुंह को रूमाल या टिश्यू से ढकें।
2. भीड़-भाड़ वाले स्थानों से बचें।
3. हाथों को साबुन-पानी से बार-बार धोएं।
4. पर्याप्त मात्रा में पानी व पौष्टिक आहार लें।
5. लक्षण होने पर चिकित्सकीय परामर्श लें और उसी अनुसार दवा लें।
6. संक्रमित होने की आशंका पर दूसरों से दूरी बनाए रखें।
7. बच्चों, बुजुर्गों और गंभीर रोगियों का विशेष ध्यान रखें।
क्या न करें :
1. प्रयोग किए गए टिश्यू या रूमाल का दोबारा उपयोग न करें।
2. हाथ मिलाने से बचें।
3. लक्षणग्रस्त लोगों के संपर्क में न आएं।
4. बिना डॉक्टर की सलाह के दवा न लें।
5. बार-बार आंख, नाक और मुंह न छुएं।
6. सार्वजनिक स्थानों पर थूकने से बचें।
Other unwanted aspect effects corresponding to water retention can also worsen, as cycling HGH on and
off does not enable the physique to regulate to a secure HGH dosage and
normalize physique water levels. When first starting an HGH cycle, you may expertise indicators of water retention such as headache, joint pain, swollen legs and feet,
and carpal tunnel syndrome as a outcome of excessive doses.
What is more, it is protected to take HGH repeatedly as long
as you have obtained it with a legal medical prescription and
a medical doctor controls your dosage to avoid unwanted side effects.
At All Times remember that TRT or HGH remedy ought to
solely be done with the supervision of a qualified professional within the subject of
testosterone and hormone therapy. It is essential to give you the greatest effect potential while
minimizing or eliminating undesirable unwanted effects.
They are considered performance-enhancing medication and are banned in skilled sports activities.
Even 10 years later, as a cognitive, procedureless
specialty dealing with principally uncommon ailments, it was one of the smallest, lowest-paid, and extra obscure of the medical
specialities[citation needed]. Both IGF-1 LR3 and HGH are powerful tools in the world
of physique development, recovery, and efficiency optimization — but they serve totally
different roles in the development hierarchy. Typically utilized in development cycles to
amplify mTOR signaling and enhance myonuclei density for
long-term hypertrophy features.
Though some people use the 2 medicine to enrich one another, the two are fairly completely different and works
in fairly alternative ways. If you want a
formidable physique with outstanding options, steroids are your best
probability to get there. They are thus more well-liked
with athletes in aggressive sports activities, not bodybuilders.
Winstrol is one example of a steroid that works effectively in cutting—powerful steroids in the military
like this velocity up fat metabolism without inflicting bloating or water retention in your body.
Bodybuilders are the biggest beneficiaries of steroids in this
regard as a outcome of generally, all they need is the energy to activate their muscle
tissue. The extra red blood cells there are, the more oxygen reaches physique tissue,
such as muscle tissue.
Vitamin C-rich meals corresponding to pink pepper, kiwi,
strawberries and broccoli. Adults who are growth hormone-deficient have an elevated threat for heart problems,
resulting in decreased life expectancy. After six months, there was
a big improve in the leg press responsiveness muscular tissues within the growth hormone group.
Only pros can use extra powerful steroids like Trenbolone with out experiencing
severe side effects. They are not really helpful because the outcomes are a mixture of hits and misses.
Scientifically, any substance exhibiting such traits is considered unsafe and isn’t released to
the public. Come to suppose about it this manner; the regulation doesn’t recommend the drug however has not outlawed it completely.
Now that you realize the difference between the two enhancers, allow
us to now take you thru certain things that make both of them stronger than the opposite.
Metabolism consists of the chemical reactions in your physique that
change the meals you eat into vitality. Once the growth plates in a child’s bones have fused, HGH no longer will increase height.
As An Alternative, HGH helps to take care of normal body construction throughout the rest of your life.
HIV sufferers are really helpful to take 3-6 mg per day for as a lot as 3 months.
Most bodybuilders take HGH cycles which often last 2-6
months, though there is not any scientific foundation for such practices.
HGH suppresses the action of insulin and your body could develop insulin resistance, which
suggests it could not use blood glucose successfully.
Regardless of what the affected person seeks to treat, they want to endure
all tests and the test outcomes should past affordable doubt show that one of the best treatment is HGH remedy.
Side effects of excess IGF-I and insulin because of supplement or use for anabolic functions.
Different purported benefits of HGH similar to anti-aging aren’t substantiated by scientific
proof.
All steroids share the same fundamental four-ring construction, which is not a characteristic of most SARMs.
The numerous results of steroid hormones, from testosterone to estrogen, are a results of modifying
this basic ring structure, which is shared with ldl cholesterol.
Peptides promote the production of progress hormones, SARMs connect to the androgen receptors in the muscle and bones, promoting their growth.
One milligram of somatropin is equal to approximately three International Models (3 IU).
Insulin binds to its receptor, inflicting phosphorylation of insulin receptor substrate (IRS) proteins, which in flip, prompts the PI3K/Akt pathway.
This process could additionally be enhanced by administering insulin after a bout of train since that is recognized to extend insulin sensitivity
in muscle for as much as 24–48 h (Dawson and Harrison, 1997).
In contrast, insulin may act centrally to reduce urge for food
and increase vitality expenditure long run (Dallman,
Akana, Strack et al., 1995, Ikeda, West, Pustek et al., 1986).
As most reports of insulin-induced anabolism
are anecdotal, there are no in-vivo reports in people learning its anabolic
potential. Insulin additionally induces lipogenesis leading to a rise in fat mass and
body weight. This may be undesirable for certain activities where leanness is sought.
Some of the properties of human development hormone can appear anabolic in nature.
70918248
References:
Do Steroids Stunt Your Growth
Very good written story. It will be supportive to anybody who utilizes it, as well as yours truly :). Keep up the good work – looking forward to more posts.
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